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Billing code 47142: Donor hepatectomyMedicare rate & RVUs

Reports partial liver removal from a living donor when the transplant operation also includes removal of the recipient’s liver.

CMS RVU26DEffective Oct 1, 2026109 payment localities79 Medicare services in 2024

Medicare pays $4,375.52 for 47142 nationally in a facility.

Medicare rate · 47142

Donor hepatectomy

Work RVUs
77.45
Total RVUs
131.00
Global days
090

National rate · 2026

$4,375.52

Facility setting, before claim adjustments.

See every locality for 47142 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

On this page 10 sections
  1. Medicare rate
  2. What 47142 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 47142 covers

This code describes procurement of part of a living donor’s liver for transplantation when recipient hepatectomy is also performed. The transplant surgeon removes the planned graft portion, such as a lobe or segment, and the recipient’s diseased liver is removed as part of the transplant operation. The service is performed in an operating room, generally by a transplant team. Cold preservation of the donor graft is included in the donor hepatectomy service.

Select this code when the operative record supports both living donor partial hepatectomy and recipient hepatectomy; donor-only removal is reported with a different code. Document the donor procedure, recipient hepatectomy, and graft handling. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 47142 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

47142 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$3,937.89
Alaska*Unavailable$5,429.16
ArizonaUnavailable$4,241.79
ArkansasUnavailable$3,885.02
AtlantaUnavailable$4,540.05
AustinUnavailable$4,365.28
BakersfieldUnavailable$4,259.01
Baltimore/Surr. CntysUnavailable$4,661.09
BeaumontUnavailable$4,227.70
BrazoriaUnavailable$4,233.95

47142 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
47142 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 47142 rate is calculated

Each of 47142’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 47142

RVUs × geographic indexes × conversion factor

Work77.45

77.45 RVUs× 1.000 GPCI

Practice expense32.81

32.81 RVUs× 1.000 GPCI

Malpractice20.74

20.74 RVUs× 1.000 GPCI

Adjusted RVUs

131.0000

Conversion factor

$33.4009

Medicare rate

$4,375.52

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 47142

47142 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 47142

Donor hepatectomy

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.81/0.10Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 47142

Donor hepatectomy

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47142 without 51 · national facility

$4,375.52

Donor hepatectomy

47142-51 · Second procedure: 50%

$2,187.76

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

47142 compared with similar codes

Compare codes · National

5 codes, side by side

  • 47142

    Donor hepatectomy77.45 wRVU

    Not priced

  • 47140

    Donor hepatectomy57.92 wRVU

    Not priced

  • 47141

    Donor hepatectomy69.71 wRVU

    Not priced

  • 47120

    Liver resection38.03 wRVU

    Not priced

  • 47133

    Not on the physician fee schedule0 wRVU

    Not priced

How to choose

47140Donor hepatectomy
47140 describes living donor partial hepatectomy without recipient hepatectomy. Choose 47142 when recipient hepatectomy is also part of the operation.
47141Donor hepatectomy
47141 is the laparoscopic living donor hepatectomy code without recipient hepatectomy. This code represents the service involving recipient hepatectomy.
47120Liver resection
47120 describes partial removal of a patient’s liver, not procurement of a living donor graft as part of a transplant operation.
47133Removal of donor liver
47133 applies to donor liver removal from a cadaver donor; this code is for partial hepatectomy from a living donor with recipient hepatectomy.

Codes related to 47142

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 47142
CodeHow it relatesNational office range
Same family
47140Donor hepatectomyLiving donor hepatectomy without recipient hepatectomy.No office rate
47141Donor hepatectomyLaparoscopic living donor hepatectomy without recipient hepatectomy.No office rate
Often billed with
47135Transplantation of liverRecipient liver transplantation may be reported for the transplant service when performed and documented.No office rate
Used instead
47120Liver resectionPartial liver resection for a patient’s own liver, rather than living-donor graft procurement.No office rate
47133Removal of donor liverDonor liver removal for a cadaver donor rather than a living donor.No office rate

47142 billing questions

How is this distinguished from 47140?

Use 47142 when the living donor hepatectomy is performed with recipient hepatectomy. Code 47140 describes donor hepatectomy without that recipient procedure.

Is donor graft cold preservation separately reported?

Cold preservation is included in the donor hepatectomy service; it is not separately reported as a distinct service under this code.

Can modifier 50 be used?

No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor and anatomy.

Can an assistant surgeon be reported?

CMS indicates assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation.

How does the multiple-procedure rule affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard multiple-procedure reduction.

What documentation supports selection of this code?

The operative record should identify a living donor partial hepatectomy and removal of the recipient’s liver during the transplant operation.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 47142PPRRVU2026_Oct_nonQPP.csv, line 5,657 (RVU26D)

Open CMS sourceHow we calculate rates

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